Topics Related to Medicaid Managed Care

Home Health Care Services: Soft Launch April 1, 2023 through June 30, 2023; Provider Selection of Electronic Visit Verification Vendor

This report describes findings from the second assessment of provider experience and satisfaction with the NC Medicaid program.

The rates for HHCS shall be increased by 10% above the current fee schedule rate.

Implementation is delayed until Oct. 1, 2023.

Claims submitted to a health plan have a timely filing claims processing deadline of 180 calendar days

Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.

This document provides guidance on what capacity building funds can be used for as well as the timeframes for use of the funds.

NC Medicaid is implementing new Managed Care Nursing Facility rates to support nursing facility providers and NC Medicaid members.

Milestones, playbook updates, beneficiary assignment file, provider reverification, provider records, provider ombudsman, help center and webinars.

Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy